Retrofitting / building hospitals safe
from disasters
Tapan Patel, Centre for Integrated
Development/ RedR, for UNISDR
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Sources of Information, Photographs and Sketches
used in presentation:
1. Seismic Safety of non structural elements and contents in Hospital
Buildings- GoI, UNDP
2. A homeowner’s guide to hurricane retrofitting- Institute for business
and home safety
3. Improving wind/ cyclone resistance of buildings- Guideline by Prof A
S Arya, GoI
4. Manual on Hazard Resistant Construction in India- UNDP, NCPDP
5. Tool kit for Safe Hospitals- UNISDR
6. Field manual on capacity assessment of health facilities responding
in emergencies, WHO
7. Training Manual on earthquake, cyclone, flood and tsunami safe
construction in Fiji by Mr. Robert Pole and Josefani Bola
8. Various documents of WHO Regional office of South East Asia
(SEARO), Pan American Health Organisation (PAHO), FEMA,
www.safehospitals.org
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The most costly hospital is that fails
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Repair, Restoration, Retrofitting
A. Repairs
• Actions taken for patching up superficial defects
• Include cosmetic works only
B. Restoration
• Actions taken for restoring the lost strength of structural
elements of the
C. Retrofitting
• Preparing a structure in scientific manner to withstand forces of
natural hazards
• Up gradation of existing building for increasing the resistance against
natural hazards
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Advantages of retrofitting
• Can be done in phased manner.
• Elimination of need of temporary structure
• Elimination of cost of total demolition of the building
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Parameters for selection of Techniques
for Retrofitting
TECHNICAL LEGISLATIVE PREFERENCE OF OWNER
Availability of Local and National •Aesthetics
Site Building Hazard
Skilled Human Building Bye-laws •Economics
Characteristics Characteristic Characteristic
Resource and codes •Accessibility
•Time duration
•Foundation •Single Hazard
•Location •Structure type
•Multiple
•Soil Type •Height Hazard
•Construction
Material
•Condition
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Basics of building functions
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Basics of building functions
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Basics of building functions
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Vulnerabilities to various disasters
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Most Common Mistakes in Masonry
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RETROFITTING- EARTHQUAKE
1. Repair of crack and chip-off in walls, RCC elements
– Through application or injection of cement slurry grouting
– Application of polymer in case of severe crack/chip off before
grouting
– Application of wire mesh coated with cement grouting
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RETROFITTING- EARTHQUAKE
2. Rebuilding portions of damaged walls
3. Rebuilding portions of damaged RCC elements
4. Installation of ferro cement plates at the corners of walls to
give stability to the building
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RETROFITTING- EARTHQUAKE
5. Provision of horizontal seismic belts at plinth, lintel and gable
level of building
6. Provision of vertical seismic belts at corners of building and
around door-windows
7. Restoring RCC slab through cement grouting over wire mesh
and coating of polymer etc.
8. Stiffening of wooden floor with galvanized metal strips of
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additional wooden planks
Retrofitting methods
Weld Mesh
cover
Corner
reinforcement
Bracing at roof
Concrete gable
band
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Retrofitting methods
Sealing with Grouting with Stitching with
Cement Mortar plasticiser strap
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Flood effects
Uneven
Settlement Scouring
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Retrofitting- floods
1. Elevation
• Elevation of the existing structure on fill or foundation elements like
solid perimeter walls, piers, posts, columns etc
2 Relocation
• Relocating existing structure outside the flood plain
3. Dry Flood Proofing
• Strengthening of existing foundation,
floors and walls
• Sealing the portion of structure below flood level.
• Use of sealants, wall coating, water proofing for sealing components
• Door-window, sewer and water lines and vents closed with permanent
or removable vales
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New construction for floods
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Retrofitting- floods
4. Wet Flood Proofing
• Making utilities, Structural Components and content flood and
water resistant during the period of flood within the structure
• Modifying structure to allow flood water to enter in a way to
minimize damage
• Feasible only if structure has space available, basement etc
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Retrofitting- floods
Measures for protection against Flood damage
• Proper drainage system around the building, slope adjustment
etc
• Raising the plinth level to HFL
• Grounded edge near the building to protect against scouring by
pitching, vegetation etc
• Flood Wall/Levee
Measures for protection against rain damage
• Water Proof Plastering on Leaky Roofs
• Proper drainage of roof through adequate slope adjustment
• Plastering the top of parapet wall to avoid water absorption in
walls
• Damp proof layer on wall upto minimum 450 mm or till high
flood level
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Parameters for design safety in cyclone
prone areas
• Site selection
• Plan form / orientation
• Roof Structure
• Openings
• Glass panels
• Foundation
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Retrofitting for cyclone safety
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Cyclone effects
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Retrofitting measures at glance
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Retrofitting - Cyclone
• Improving connection of wall to roof
• Wind bracing through diagonal strap with metal/RCC on walls
and roof to prevent pushing against wind
• Installation of load wall/parapet on roof hold the roof firmly
• Provision of vertical bands at corners of building and door-
window openings to provide them tensile strength against
vertical bending
• Additional anchorage of door-window frames with holdfasts
• Connecting metal sheets to roof through ‘J’ or ‘U’ bolts
• Connecting tiles to rafter through GI hooks
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Retrofitting - Cyclone
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Retrofitting - Cyclone
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Retrofitting - Cyclone
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Retrofitting - Cyclone
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Retrofitting - Cyclone
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Retrofitting - Cyclone
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Retrofitting - Cyclone
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Retrofitting - Cyclone
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Retrofitting - Cyclone
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THANK YOU
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